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General NPI Number Information
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NPI Number | 1508899964
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Entity Type | Organization
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Legal Business Name | MEDICAL ESSENTIALS LLC
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Dates
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Enumeration Date | 07/09/2006
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Last Update Date | 06/21/2018
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Provider Practice Location Address
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Address Line | 304 SOUTH MAIN STREET
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City | SIMPSONVILLE
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State | SC
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Zip | 29681-2606
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Country | US
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Telephone | 864-757-1467
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Fax | 864-757-1469
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Provider Business Mailing Address
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Address Line | 215 PELHAM RD STE B211
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City | GREENVILLE
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State | SC
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Zip | 29615-2548
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Country | US
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Telephone | 864-234-1438
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Fax | 864-234-1408
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Authorized Official
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Title or Position | OWNER/PRESIDENT
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Name | MARY C. WELBAUM
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Credential | CFO,C.PED.
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Telephone | 864-234-1438
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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